NPI 1841324860
Kelly a Gibson, AUD
Practice location
- Address
- 4725 Hoen Ave, Santa Rosa, CA 95405-9402
- Phone
- (707) 542-1154
- Fax
- (707) 542-4818
- Mailing address
- 750 N Commons Dr STE 200, Aurora, IL 60504-7940
Registered specialties (5)
Audiologist-Hearing Aid Fitter
Primary
Audiologist
Assistive Technology Practitioner Audiologist
Assistive Technology Supplier Audiologist
Hearing Instrument Specialist
Registry record
- NPI
- 1841324860
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 14 Mar 2007
- Record last updated
- 29 Sep 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.